| NPI | 1316269954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 18053) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 052540) |
| 183500000X Pharmacist (Licence: NJ 28RI03211600) | |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2015-09-14 |